The Centers for Medicare and Medicaid Services (CMS) is a branch of the U.S. Department of Health and Human Services (HSS) that administers the Medicare program and works with state governments to administer the State Children’s Health Insurance Program (SCHIP) and Medicaid. The agency is also responsible for implementing many of the reforms mandated by the Affordable Care Act through its Center for Consumer Information and Insurance Oversight (CCIIO).
CMS headquarters are located in Baltimore, Maryland. Employees of the agency also work in the Hubert H. Humphrey Building in Washington, D.C., and in 10 regional offices (ROs) located in Atlanta, Boston, Chicago, Denver, Kansas City, New York, Philadelphia, San Francisco and Seattle. The ROs are organized into a structure of four consortia based on key focus areas:
- Medicare Health Plans Operations
- Medicaid and Children’s Health Operations
- Quality Improvement and Survey & Certification Operations
- Financial Management and Fee for Service Operations
The Affordable Care Act is expanding the role of the CMS beyond administration of Medicare, Medicaid and children’s health insurance. CMS will now coordinate with states and the health care community to establish health insurance marketplaces and regulate private health insurance plans.
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As the federal agency that serves as the steward of health care funding, the CMS offers career opportunities in both public health and public administration. Positions at CMS headquarters include health insurance specialists, actuaries, economists, information technologists, management analysts and social science research analysts. In addition to these positions, CMS regional offices may also employ epidemiologists, medical technologists, nurse consultants and other public health professionals.
Details about positions within the CMS are provided below.
Job Title: Health Insurance Specialist
Estimated Salary: $89,924 to $116,901
This health insurance specialist position is with the Division of Plan Oversight and Accountability at CMS headquarters. Job duties include developing and implementing integrity initiatives in support of Medicaid programs, performing studies to analyze operating procedures related to Medicaid program integrity and working with others to improve Medicaid education and outreach efforts.
Job Title: Business Architecture Specialist
Estimated Salary: $89,033 to $115,742
This position with the Enterprise Development Group at CMS headquarters involves development of enterprise models and evaluation of proposed changes in business operations. It requires knowledge of health care financing laws in order to interpret and analyze new legislation and determine the effect on CMS programs.
Job Title: Medical Officer
Estimated Salary: $106,263 to $138,136
Doctors of medicine or osteopathy who have at least one year of direct service experience in a clinical setting are eligible for this position in the Policy and Programs Group at CMS headquarters. Duties include the design and implementation of national programs related to innovation in Medicare fees for service payments and providing medical expertise and advice to health care organizations and internal stakeholders to promote best medical practices.
Job Title: Deputy Administrator for Risk Management and Chief Risk Management Officer
Estimated Salary: $120,749 to $181,500
The CMS senior risk management executive position involves leadership of an enterprise-wide risk management system for all operational and financial risk issues. Job duties include identification and evaluation of risks in various CMS programs and the development of metrics to measure the effectiveness of these efforts. The deputy administrator sets the strategic risk management vision for the CMS and delivers that strategy, providing briefings to CMS and HHS senior-level executives as well as members of Congress and officials within the Executive Office of the President. Applicants for this position must have senior-level experience in risk management for a major enterprise.
For more information about CMS jobs, visit the CMS careers website.